How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $724.44 Median $2,454.71 Typical High $4,365.16 | Facility | None | $724.44 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,380.38 | $1,862.09 |
BCBS Louisiana Setting Facility Modifier None Typical Low $8,709.64 Median $10,964.78 Typical High $24,547.09 | Facility | None | $8,709.64 | $10,964.78 | $24,547.09 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,348.96 | $1,737.80 | $1,737.80 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,513.56 Typical High $15,488.17 | Facility | None | $707.95 | $1,513.56 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,047.13 | $1,412.54 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $15,488.17 | Facility | None | $1,202.26 | $3,019.95 | $15,488.17 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,949.84 | Professional | None | $933.25 | $1,148.15 | $1,949.84 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $691.83 Typical High $870.96 | Professional | 52 · Reduced service | $660.69 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $275.42 Typical High $354.81 | Professional | 53 · Discontinued | $263.03 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,047.13 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,000.00 | $1,047.13 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $208.93 Typical High $263.03 | Professional | 55 · Aftercare only | $199.53 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $138.04 Typical High $177.83 | Professional | 56 · Pre-op care only | $131.83 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $977.24 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $933.25 | $977.24 | $1,230.27 |
Where Louisiana sits
The same service costs 7.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 20th of 51
$1,660
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.